Provider Demographics
NPI:1063789089
Name:HOMEFRONT LLC
Entity type:Organization
Organization Name:HOMEFRONT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:KEENE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:215-407-0463
Mailing Address - Street 1:2580 PIONEER RD
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-2522
Mailing Address - Country:US
Mailing Address - Phone:215-407-0463
Mailing Address - Fax:
Practice Address - Street 1:1000 N WEST ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1050
Practice Address - Country:US
Practice Address - Phone:302-409-1935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000135101YM0800X
DEPC-0000564101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1952678120OtherINDIVIDUAL NPI NUMBER, NPPES, JOYCE KEENE
1255579538OtherGLORIA FOX, INDIVIDUAL NPI NUMBER